Active NPI
Jean Hanks, RDN
- Registered Dietitian
- New York, NY
National Provider Identifier
1386256147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 010106-01
- Practice address
- 222 E 31St St Apt 1R
New York, NY 10016-6333 - Phone
- (315) 201-0621
- NPI assigned
- Aug 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 010106-01 | NY | Primary |
Addresses
Primary practice location
222 E 31St St Apt 1R
New York, NY 10016-6333
Mailing address
1 Duffield St Apt 108
Brooklyn, NY 11201-2214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 26, 2022 through May 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010106-01 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1386256147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DUFFIELD ST APT 108",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112012214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E 31ST ST APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166333",
"telephone_number": "315-201-0621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKS",
"first_name": "JEAN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "010106-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.